NPI | 1649466889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 072199) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 809) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2020-07-13 |